prudential investment plan additional investment ... · adviser can get the correct prudential bank...

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Please use black inkand write in CAPITALLETTERS or tick as appropriate.Any corrections must be initialled. Please do not usecorrection fluid as this will invalidateyour application.

4

Prudential Investment Plan Additional Investment – application form: PIPF10028 04/2018

About this form

Prudential Investment PlanAdditional Investment application form

Prudential Investment Plan

Please return this form to Prudential, Lancing BN15 8GB or in the envelope provided.

For online applications, please ensure that you complete and return the Online Submission Declaration atthe back of this form.

Notes to help you

Adviser Notes

If you have any questions when completing this application please speak to your Financial Adviser.

Please ensure you complete the Adviser Checklist on page 9.

Important InformationThis form can only be used for additional investments into the Prudential Investment Plan.

If your original plan was taken out on or after 2 January 2013 and allowed you to ask for Adviser Charges to be deducted from your plan, you can also ask for Adviser Charges to be deducted from your additional investment.

You cannot ask for Adviser Charges to be deducted from your additional investment if this was not an optionon your original investment – please check the Key Features document you received with your initialapplication to find out if you are eligible.

If you are not eligible to ask for Adviser Charges to be deducted from your additional investment, we will notaction any instructions in this application relating to Adviser Charging and you will have to agree with youradviser how they will be paid for any advice they have given.

If you are applying on, or after, 1 January 2018, before you invest in this product you should read our KeyInformation Document and relevant Investment Option Document(s). These include important informationwhich may help you make up your mind.

You can find the latest Key Information Document and relevant Investment Option Document(s) for thisproduct on our website at www.pru.co.uk/pro-docs/PIP

For products closed before 1 January 2018, but can still be topped up, we do not provide these documents.So please refer to your Key Features Document for further information.

Ongoing Adviser ChargesIf you have already asked for Ongoing Adviser Charges to be deducted from your original plan, and haveexpressed them as a percentage of the full value of your Plan or a percentage of the total Premium, thisinstruction will automatically apply to your additional investment and no further action is required by you.

If you have asked for Ongoing Adviser Charges to be deducted and expressed them as a £ amount, they willcontinue at the current level and no further action is required by you.

If you wish to make any changes to your Ongoing Adviser Charges at this time, please complete a PIP AdviserCharge Instruction form (reference PIPF10048).

You can get a copy ofthis form from yourFinancial Adviser, from pru.co.uk or you can call us on0345 640 1000.

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Prudential Investment Plan Additional Investment – application form: PIPF10028 04/2018 of 12

Plan holder name Plan number

Your Financial Adviser may be able to send your application to us on a secure website.

Part 1 – Details of your investment and Set-up Adviser Charge instructions

We may accept largerinvestments in certaincircumstances. Ifappropriate, yourFinancial Adviser canenquire on your behalf.

Please ensure youcomplete all theboxes in this section.

Note: Please makesure that Box a minusBox b is equal to theamount in Box c.If there is anydiscrepancy, we willpay the amountspecified in Box b to your adviser andwe will invest the netamount of a minus binto your bond.

How to pay – you may pay by cheque or a transfer made from your bank. For bank transfer details, youradviser can get the correct Prudential bank information from the Adviser Service Centre on 0808 234 0808.If the cheque is not drawn on your personal account, we may ask you to prove that the money belongs to you.

In this section you tell us how much you want to add to your plan.

If your original plan allowed you to ask for adviser charging, you can ask for a Set-up Adviser Charge to bededucted from your additional investment.

c) Amount to be invested (your additional premium) (minimum £10,000)

to be divided equally between all the identical policies in my PrudentialInvestment Plan, numbers commencing

£

a) Total amount of additional investment (the amount you are sending to us) £

b) Set-up Adviser Charge (if any) £ %Or Or NIL (please tick)

of additional investment

The maximuminvestment (includingany top up premiums)is £500,000 perperson. Any growthon your plan is notsubject to this limit; it only applies to theamount of your singlepremium and any topup premiums.

*

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of 12Prudential Investment Plan Additional Investment – application form: PIPF10028 04/2018

Please make your fund selections below.

Minimum investment in each fund is £500. You can invest in up to 10 funds at any time. The PruFund ProtectedFunds are not available for additional investments. If you choose any of the Distribution Income Funds or anynon-protected PruFund Fund, then each fund choice will count as 2 fund choices as the Prudential DistributionCash Fund or relevant PruFund Holding Accounts are automatically added to your selection. You cannot investdirectly into the Prudential Distribution Cash Fund or a PruFund Holding Account. For more information on thefunds refer to the fund guide (INVB11662) which is available from your Financial Adviser or visit www.pru.co.uk.

If you have chosen the Automatic Rebalancing option on previous investments please see Part 4.

Fund Names:

The PruFund Funds have a number of features that you should be aware of before you decide to invest in aPrufund fund.

If your Prudential Investment Plan was taken out prior to 7 September 2009 and you wish to invest in a PruFundFund for the first time, you must read current versions of the following documents before making your decision:

> Key Features of the Prudential Investment Plan> Policy Provisions of the Prudential Investment Plan> Your With-Profits Plan – A guide to how we manage the fund (WPGB0031)You can get these from your Financial Adviser or direct from Prudential on 0345 640 1000*.

%

%

%

%

%

%

%

%

%

%

Total 100%

* Calls may bemonitored orrecorded for qualityand securitypurposes.

Part 2 – Where you wish to invest your money

Important Information Access to the Prudential With-Profits Optimum Return and Optimum Bonus Funds is no longer availableto new customers investing in Prudential Investment Plan (PIP) on or after 11/09/2017.

However, if you are an existing customer pre 11/09/2017, you will still be able to top up or switch intothe Prudential With-Profits Optimum Return Fund and the Prudential With-Profits Optimum Bonus Fund.

Reference to With-Profits within this document is only applicable to policyholders pre 11/09/17.

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Part 3 – Taking a regular withdrawal

If you do not currently take, or do not wish to start taking regular withdrawals please go to Part 4.

Note: Any withdrawals taken will reduce the value of your plan. If withdrawals are more than any overallgrowth achieved, the value of your plan will reduce below the level of the original capital invested. If you have previously invested in the PruFund Protected Growth Fund or the PruFund ProtectedCautious Fund, the amount guaranteed will be adjusted for any withdrawals you make from that fund.

Please note: If you are currently taking regular withdrawals and there are no revised instructions shown inthe "Commencing or changing withdrawals" section below, your regular withdrawals will continue and:

> if the withdrawals are for variable amounts e.g. a fixed % of fund value or natural income, then the amountwill be increased in the future in line with the new additional investment, or

> if the withdrawals are for a fixed monetary amount or fixed % of the initial or total investment excludingthis additional investment, the amount paid will remain unaltered. If payments are to be increased in linewith the new investment please complete the Commencing or changing withdrawals section below

I/We wish to commence withdrawals

I/We wish to amend withdrawals

I/We have no revised instructions

Part A – Continuing, changing or starting withdrawals

Commencing or changing withdrawals

please complete Part 3B and C (and E if bank details changing)

orplease complete Part 3B, C and E

please go to Part 4

Complete the following only if you wish to start or amend an existing withdrawal instruction:

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Part 3 – Taking a regular withdrawal – continued

For additional investments, the requested regular withdrawals will be provided in proportion from the unitsrelating to the original investment and each additional investment.

I/We wish to receive each year

of my/our total investment each yearor

or

£

%

% of the value of my/our plan each year

or The Regular Bonus as Income Option (With-Profits only*)

please tick box

or Natural Income (Distribution Income Funds only)

or Natural Income capped at 5% of total investment** (Distribution Income Funds only)

If your original plan was taken out before 2 January 2013

> When regular withdrawals start or change, the amount requested during any 12 month period cannotexceed the greater of 5% of the full value of your plan or 5% of the total amount you paid in, except whereyou opt to receive Natural Income from your Distribution Income Funds or Regular Bonus as Income fromyour With-Profits Funds. Withdrawals of more than 5% from the With-Profits Funds may be liable to aMarket Value Reduction.

If your plan was taken out after 2 January 2013

> If you have asked for Ongoing Adviser Charges to be deducted from your Plan, these will contribute toyour 7.5% withdrawals limit. Also, if you have asked for, or are planning to ask for, Ongoing AdviserCharges to be deducted from your Plan, the 'Natural Income capped at 5% option' cannot be selectedbelow as both options are not permitted on the same Plan at the same time.

> When regular withdrawals start or change, the amount requested during any 12 month period cannotexceed the greater of 7.5% of the full value of your plan or 7.5% of the total amount you paid in, exceptwhere you opt to receive Natural Income from your Distribution Income Funds or Regular Bonus asIncome from your With-Profits Funds. Withdrawals from the With-Profits Funds may be liable to a MarketValue Reduction.

Note: Payments will be made direct to your bank or building society. Please make sure that your account isable to receive direct credit payments.

The following withdrawal limits apply:

> Minimum payment is £50 (except under the Regular Bonus as Income or Natural Income options).

> Withdrawals are taken equally from all the policies in the plan. Withdrawals will be taken from your fundsproportionally unless you provide alternative instructions by completing Part D.

> If you take a regular withdrawal from a PruFund Protected Fund, the amount guaranteed will be adjustedfor any withdrawals you have made.

> If your investment is in both the With-Profits (Optimum Bonus) and With-Profits (Optimum Return) Fundoptions, the Regular Bonus as Income option will be taken from both Funds unless you specify otherwisein Part D.

Part B – The Amount

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Part 3 – Taking a regular withdrawal – continued

1.

2.

3.

4.

Note: Regular withdrawal amounts will be deducted from all your chosen funds unless otherwise specified. If you wish the amount to be taken from selected funds please specify the name of thefund(s) below. For investors in the Distribution Income Funds taking Natural Income, this option isnot available.

– –

Sort code Account Number

Account NameRoll Number (if applicable)

Name of your bank or building society

Part D – Only complete if you wish to specify from which Funds the regular withdrawals aretaken from

Part E – Bank/Building Society Details

Address

Postcode

Fund Name

Every Month Every 3 Months Every 4 Months***

Every 6 Months Every 12 Months***

Note: Regular withdrawal payments will usually reach your account within five working days of the dateyou have chosen.

Date you wish to start taking regular withdrawals (this must be at least 30 days from the date of the additionalinvestment and if distribution income funds are used the start date must also be after the next distribution date).*

Part C – Frequency of Payments

* The earliest payment under the With-Profits Regular Bonus as Income option will be the first scheduledpayment date based on the frequency selected in Part C, e.g. if payments are required every threemonths, the first payment will be made on the first scheduled payment date after three months fromacceptance of this application.

** Total investment is the total amount of capital that you have invested, not the value of your Plan.

*** Not available to Distribution Income Funds investors taking Natural Income.

D D M M Y Y Y Y

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Part 5 – Details of the applicant

Occupation/Nature of business (trustees shouldsimply enter Trustee)

Annual earnings (including income from anypensions)/Net annual turnover (not applicable to existing trustees)

Source of funds for this investment

Source of wealth (not applicable to corporate ortrustee applicants)

(Origin of funds for this investment eg saved from salary, inheritance, property sale, divorce settlement)

(eg a UK bank account)

In the revised Joint Money Laundering Steering Group guidance, this product has beencategorised as "increased risk". We are therefore required to gather additional information(enhanced due diligence) on the customer. Please answer all the questions below. Where thereare joint applicants, please give details of both.

Occupation/Nature of business (trustees shouldsimply enter Trustee)

Annual earnings (including income from anypensions)/Net annual turnover (not applicable to existing trustees)

Source of funds for this investment

Source of wealth (not applicable to corporate ortrustee applicants)

(eg a UK bank account)

First Applicant Second ApplicantIf there is any changein the parties to thetrusts e.g. any trusteesor beneficiaries(including class ofbeneficiaries) changeor a letter of wishes isreceived, the trusteesmust notify Prudentialof the changes, thedate it becameeffective and within14 days from the dateany of the trusteesbecame aware of the change.

Part 4 – Optional feature

Yes

I/We wish to immediately rebalance all investments held within this plan, to the investmentproportions selected within this application form. All funds within this plan will then be automaticallyrebalanced to these proportions on each anniversary of the original start date of this plan, unlessotherwise instructed.

Automatic Rebalancing instruction in place on existing investmentWhere an Automatic Rebalancing instruction is currently in place for the existing investment, and the fundschosen on this application or the proportions within which they are invested differ from your existinginvestment, we will switch off the facility to prevent an accidental immediate rebalance when the additionalinvestment goes live.

Automatic Rebalancing instruction to be based on new investmentIf Automatic Rebalancing does not currently apply to the initial investment and is now selected, it will apply to the whole plan (including all existing and new investments), and will be based on the funds and investmentproportions chosen on this application. Where previous investments are in different funds or proportions tothis application, they will be switched immediately and then again each year on the anniversary of the originalcommencement date of this plan.

Please note this facility may only be applied to unit-linked funds (excludes With-Profits (Optimum Bonus) andWith-Profits (Optimum Return) Funds, PruFund Funds and Distribution Cash Fund).

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a. I/We enclose a cheque for my/our additionalinvestment made payable to the The PrudentialAssurance Company Limited and request thatthe appropriate number of units be allocatedin the fund(s) indicated. It is understood that acopy of this completed application and the termsand conditions are available from the Prudentialon request.

b. I/We declare that the information given in thisapplication is true and complete to the best ofmy/our knowledge and belief.

c. For your own benefit and protection, you shouldread carefully the documentation providedbefore signing the form. You should also readcarefully any further documentation provided toyou in future. If there is anything you do notunderstand please ask us for information.

d. If your original plan was taken out on or after 1 January 2018:

I/We confirm that I/we have read the KeyInformation Document and relevant InvestmentOption Document(s) for this product.

Please make cheques payable to:The Prudential Assurance Company Limited.

All bank/building society “counter” cheques mustinclude reference to the name of the account fromwhich the funds have been withdrawn. For example,“The Prudential Assurance Company Ltd – Re:Your name”. An incorrectly completed cheque mayrequire us to return your application which couldhave an adverse affect on the initial purchase priceof your investment.

Adviser Charging I/We authorise Prudential to act upon my/ourinstructions regarding the facilitation of AdviserCharges (the “Adviser Charge Instruction”) whetherspecified here now or elsewhere at any time infuture. I/We also understand that Prudential shallnot be required to carry out such instructions(including any permitted by my/our adviser firm)where they conflict with any applicable law orregulation and/or where they are inconsistent withPrudential's Adviser Charge administration capability.

I/We understand that where there is a differencebetween the Adviser Charge Instruction and theAdviser Charges agreed with my/our adviser firm,Prudential will only facilitate payment in accordancewith my/our Adviser Charge Instruction.

I/We confirm that the Adviser Charge specified inmy/our Adviser Charge Instruction is inclusive of any VAT at the prevailing rate from time to time.

I/We understand that if the level of VAT applicablewithin the Adviser Charge changes (including wherepreviously VAT free Adviser Charges become subjectto VAT) Prudential will only alter my/our AdviserCharge following a new Adviser Charge Instructionor instruction from my/our adviser firm which setsout the new level of charges to be deducted.

I/We understand that, with the exception of changesin the level of VAT, the Adviser Charge may not beincreased without my/our explicit authority.

I/We agree that the Adviser Charge may be reducedor stopped by Prudential or my/our adviser firmwithout my/our explicit authority.

I/We agree that where my/our adviser firm arrangesfor the services I/we have agreed with them to beprovided by another adviser firm, I/we authorisePrudential to amend my/our Adviser ChargeInstructions to pay the Adviser Charges at theexisting agreed level to the new adviser firm, exceptwhere they conflict with any applicable law,regulation and/or HMRC practice and/or wherethey are inconsistent with Prudential’s AdviserCharge administration capability.

I/We confirm that I/we have discussed with my/ourfinancial adviser the tax implications of my/ourinvestment being net of any Set-up Adviser Charges,and also the tax implications of having my/ourOngoing Adviser Charge deducted from thecontract. I/We understand that deduction of anyOngoing Adviser Charge will be treated aswithdrawal from the Bond.

How we use your personal informationFor a copy of our latest Data Protection Notice, pleasevisit pru.co.uk/mydata. This details how and why weuse your personal information (including any sensitivepersonal information), who we may share it with andyour rights around your personal information.Alternatively, you can request a hard copy to be sentto you by writing to The Data Protection Officer,Customer Service Centre, Lancing BN15 8GB.

Please note that we collect personal information fromyou that is necessary for us to either provide youwith the product or service you’ve requested or tocomply with statutory or contractual requirements.Unfortunately if you don’t provide all of theinformation we require this may mean we are unableto provide our products and services to you.

Part 6 – Declaration

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Trusts

Signature(s) and Full Names of Owners

If a policy is subject to trust, all trustees must sign.

Name

Signature

7

Date

Part 6 – Declaration – continued

D D M M Y Y Y Y

Name

Signature

7

Date

D D M M Y Y Y Y

Name

Signature

7

Date

D D M M Y Y Y Y

Name

Signature

7

Date

D D M M Y Y Y Y

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Confirmation of verification of identity – private individual

Introduction by an Financial Conduct Authority regulated firm

Date of Birth

Full name of Customer

1. Details of individual

Current address

Postcode

Previous address if individual has changed address in the last three months

Postcode

Explanatory notes

1. A separate confirmation must be completed for each customer (e.g. joint holders, trustee cases and jointlife cases). Where a 3rd party is involved, e.g. a payer of contributions who is different from the customer,the identity of that person must also be verified, and a confirmation provided.

2. This form cannot be used to verify the identity of any customer that falls into one of the following categories:– those who are exempt from verification as being an existing customer of the introducing firm prior to

the introduction of the requirement for such verification;– those whose identity has not been verified by virtue of the application of a permitted exemption under

the Money Laundering Regulations; or– those whose identity has been verified using the source of funds as evidence.

3. This confirmation must carry an original signature, or an electronic equivalent.

3. Details of introducing firm (or sole trader)

Full name of Regulated Firm (or Sole Trader):

Firm Reference Number:

2. Confirmation

Name

Date

I/we confirm that a) the information in Part 1 above was obtained by me/us in relation to the customer;b) the evidence I/we have obtained to verify the identity of the customer:

Signature

7

Position

meets the standard evidence set out within the guidance for the UK Financial Sector issuedby the Joint Money Laundering Steering Group

exceeds the standard evidence (written details of the further verification evidence taken areattached to this confirmation)

Please ensure you complete the Adviser Checklist on page 11.

or

(tick one only)

D D M M Y Y Y Y

D D M M Y Y Y Y

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Adviser checklist – to be completed by financial adviser

Financial Adviser note – To help us process the application accurately, please tick the relevant boxand complete all the details below:

Have you attached a copy of the relevant illustration?

Name of Registered Individual

Have you completed the details in Part 1 covering investment details and AdviserCharge Instructions.

Prudential Agent Number (eg. 012345)

Yes No

If this is not available, insert illustration reference number here and please ensure you complete the details below

Yes No

The Financial Conduct Authority requires us to record whether a personalrecommendation was given to the client. Please confirm if a personalrecommendation was given?

Yes No

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"Prudential" is a trading name of The Prudential Assurance Company Limited, which is registered in England and Wales. This name is also used by other companies withinthe Prudential Group. Registered office at Laurence Pountney Hill, London EC4R 0HH. Registered number 15454. Authorised by the Prudential Regulation Authority andregulated by the Financial Conduct Authority and the Prudential Regulation Authority.

www.pru.co.uk

PIPF10028 04/2018

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prudential investment plan additional investment ... · adviser can get the correct prudential bank...

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